Diabetes in the United States

Last updated

Diabetes was the eighth leading cause of death in the United States in 2020. People with diabetes are twice as likely to develop heart disease or stroke as people without diabetes. There are three types of diabetes: Type 1, Type 2, and gestational (diabetes while pregnant). Type 2 diabetes accounts for 90%-95% of all cases. [1] In 2017, approximately 24.7 million people were diagnosed with diabetes in the United States, approximately 7.6% of the total population (and 9th in the world). [2]

Contents

Diabetes is the leading cause of kidney failure, non-traumatic lower-limb amputations, and blindness in adults. Approximately 37.3 million adults currently have diabetes, of which 8.5 million remain undiagnosed. [1]

Diabetes cost the United States approximately $327 billion in direct medical costs and lost productivity in 2017. [1] [2]

Prevalence

The prevalence of diabetes is higher among:

Diabetes is the leading cause of kidney failure, non-traumatic lower-limb amputations and blindness in adults. Approximately 37.3 million adults currently have diabetes, of which 8.5 million remain undiagnosed. [1]

Geographically, the United States has a diabetes belt with high diabetes prevalence estimates that includes Mississippi and portions of Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and West Virginia. . [3]

estimated number, percentage, and awareness of prediabetes among adults aged 18 years or older, United States, 2017–2020 and 2019 [4]
CharacteristicPrediabetes, a 2019 estimatesPrediabetes,a 2017–2020 estimates PercentagePrediabetes awareness, b 2017–2020 estimates Percentage
Total96.0 (90.5–102.0)38.0 (35.7–40.3)19.0 (15.0–23.7)
Age group
18–4432.2 (27.7–36.8)27.8 (24.0–32.0)13.8 (9.8–18.9)
45–6437.4 (35.0–39.9)44.8 (41.7–47.9)20.6 (14.3–28.9)
≥6526.4 (24.1–28.7)48.8 (44.3–53.2)23.0 (16.9–30.4)
Sex
Men52.3 (48.0–56.6)41.9 (38.4–45.6)17.4 (13.4–22.2)
Women43.7 (39.8–47.6)34.3 (31.2–37.5)20.9 (15.5–27.5)
Race-ethnicity
White, non-Hispanic62.4 (57.4–67.4)38.7 (35.5–41.9)17.3 (11.8–24.7)
Black, non-Hispanic12.4 (11.4–13.5)39.2 (35.8–42.6)21.9 (18.0–26.5)
Asian, non-Hispanic6.0 (5.3–6.8)37.3 (32.6–42.3)30.1 (21.0–41.1)
Hispanic14.3 (13.0–15.6)34.5 (31.3–37.7)20.9 (15.3–27.9)

Prevention

Type 2 diabetes is affected by risk factors that can change, such as B. smoking, overweight and obesity, physical inactivity and high blood pressure and high cholesterol levels. Research shows that the onset of type 2 diabetes is largely preventable through weight loss, increased physical activity, and improvement. The National Diabetes Prevention Program, a partnership of public and private organizations working to prevent or delay type 2 diabetes, includes an evidence-based lifestyle change program that focuses on healthy eating and physical activity. Through the program, people with prediabetes have reduced their risk of developing Type 2 diabetes by 58%. [5]

The National Clinical Care Commission report from the U.S. Department of Health and Human Services (HHS) discusses population-level strategies for federal programs in order to prevent and control diabetes. The report emphasizes the need for federal agencies to promote the consumption of water over sugar-sweetened beverages, support breastfeeding individuals, and expand housing opportunities for low-income individuals and families in areas with access to healthy food, green space, and walkability. [6]

Diabetes management is critical to prevent complications from the disease. Diabetes can be controlled with a healthy diet, exercise, and insulin or oral diabetes medications. More information about the prevention and treatment of diabetes is available on the Centers for Disease Control and Prevention (CDC) website and through the American Diabetes Association. [1] [7]

The cost of diabetes

Complicated diabetes is one of the twenty most costly diseases occurring during hospitalization in the United States. It was one of the top five most expensive conditions for uninsured patients. [8] [9] The economic cost of diabetes increased by 26% between 2012 and 2017 due to the increasing prevalence of diabetes and rising costs per person with diabetes. [2] The estimated total cost of being diagnosed with diabetes in 2017 was US$327 billion, including US$237 billion in direct medical costs and US$90 billion in reduced productivity. [2]

See also

Related Research Articles

<span class="mw-page-title-main">Preventive healthcare</span> Prevent and minimize the occurrence of diseases

Preventive healthcare, or prophylaxis is the application of healthcare measures to prevent diseases. Disease and disability are affected by environmental factors, genetic predisposition, disease agents, and lifestyle choices, and are dynamic processes which begin before individuals realize they are affected. Disease prevention relies on anticipatory actions that can be categorized as primal, primary, secondary, and tertiary prevention.

<span class="mw-page-title-main">Diseases of affluence</span> Health conditions thought to be a result of increasing wealth in society

Diseases of affluence, previously called diseases of rich people, is a term sometimes given to selected diseases and other health conditions which are commonly thought to be a result of increasing wealth in a society. Also referred to as the "Western disease" paradigm, these diseases are in contrast to so-called "diseases of poverty", which largely result from and contribute to human impoverishment. These diseases of affluence have vastly increased in prevalence since the end of World War II.

Many types of glucose tests exist and they can be used to estimate blood sugar levels at a given time or, over a longer period of time, to obtain average levels or to see how fast body is able to normalize changed glucose levels. Eating food for example leads to elevated blood sugar levels. In healthy people these levels quickly return to normal via increased cellular glucose uptake which is primarily mediated by increase in blood insulin levels.

A chronic condition is a health condition or disease that is persistent or otherwise long-lasting in its effects or a disease that comes with time. The term chronic is often applied when the course of the disease lasts for more than three months. Common chronic diseases include diabetes, functional gastrointestinal disorder, eczema, arthritis, asthma, chronic obstructive pulmonary disease, autoimmune diseases, genetic disorders and some viral diseases such as hepatitis C and acquired immunodeficiency syndrome. An illness which is lifelong because it ends in death is a terminal illness. It is possible and not unexpected for an illness to change in definition from terminal to chronic. Diabetes and HIV for example were once terminal yet are now considered chronic due to the availability of insulin for diabetics and daily drug treatment for individuals with HIV which allow these individuals to live while managing symptoms.

<span class="mw-page-title-main">Prediabetes</span> Predisease state of hyperglycemia with high risk for diabetes

Prediabetes is a component of the metabolic syndrome and is characterized by elevated blood sugar levels that fall below the threshold to diagnose diabetes mellitus. It usually does not cause symptoms but people with prediabetes often have obesity, dyslipidemia with high triglycerides and/or low HDL cholesterol, and hypertension. It is also associated with increased risk for cardiovascular disease (CVD). Prediabetes is more accurately considered an early stage of diabetes as health complications associated with type 2 diabetes often occur before the diagnosis of diabetes.

Chronic, non-communicable diseases account for an estimated 80% of total deaths and 70% of disability-adjusted life years (DALYs) lost in China. Cardiovascular diseases, chronic respiratory disease, and cancer are the leading causes of both death and of the burden of disease, and exposure to risk factors is high: more than 300 million men smoke cigarettes and 160 million adults are hypertensive, most of whom are not being treated. An obesity epidemic is imminent, with more than 20% of children aged 7–17 years in big cities now overweight or obese. Rates of death from chronic disease in middle-aged people are higher in China than in some high-income countries.

<span class="mw-page-title-main">Health in Finland</span> Overview of health in Finland

The major causes of deaths in Finland are cardiovascular diseases, malignant tumors, dementia and Alzheimer's disease, respiratory diseases, alcohol related diseases and accidental poisoning by alcohol. In 2010 the leading causes of death among men aged 15 to 64 were alcohol related deaths, ischaemic heart disease, accident, suicides, lung cancer and cerbrovascular diseases. Among women the leading causes were breast cancer, alcohol related deaths, accidents, suicides, ischaemic heart disease and lung cancer.

<span class="mw-page-title-main">Obesity in the United States</span> Overview of obesity in the United States of America

Obesity is common in the United States and is a major health issue associated with numerous diseases, specifically an increased risk of certain types of cancer, coronary artery disease, type 2 diabetes, stroke, and cardiovascular disease, as well as significant increases in early mortality and economic costs.

Based in Washington, D.C., Leadership for Healthy Communities is a $10-million national program of the Robert Wood Johnson Foundation designed to engage and support local and state government leaders nationwide in their efforts to advance public policies that support healthier communities and prevent childhood obesity. The program places an emphasis on policies with the greatest potential for increasing sustainable opportunities for physical activity and healthy eating among children at highest risk for obesity, including African-American, Latino, American Indian and Alaska Native, Asian-American and Pacific Islander children living in lower-income communities. The foundation's primary goal is the reversal of the childhood obesity epidemic by 2015.

<span class="mw-page-title-main">Obesity in Australia</span> Overview of obesity in Australia

According to 2007 statistics from the World Health Organization (WHO), Australia has the third-highest prevalence of overweight adults in the English-speaking world. Obesity in Australia is an "epidemic" with "increasing frequency." The Medical Journal of Australia found that obesity in Australia more than doubled in the two decades preceding 2003, and the unprecedented rise in obesity has been compared to the same health crisis in America. The rise in obesity has been attributed to poor eating habits in the country closely related to the availability of fast food since the 1970s, sedentary lifestyles and a decrease in the labour workforce.

Clinical nutrition centers on the prevention, diagnosis, and management of nutritional changes in patients linked to chronic diseases and conditions primarily in health care. Clinical in this sense refers to the management of patients, including not only outpatients at clinics and in private practice, but also inpatients in hospitals. It incorporates primarily the scientific fields of nutrition and dietetics. Furthermore, clinical nutrition aims to maintain a healthy energy balance, while also providing sufficient amounts of nutrients such as protein, vitamins, and minerals to patients.

<span class="mw-page-title-main">Vaccines for Children Program</span>

The Vaccines for Children Program (VFC) is a federally funded program in the United States providing no-cost vaccines to children who lack health insurance or who otherwise cannot afford the cost of the vaccination. The VFC program was created by the Omnibus Budget Reconciliation Act of 1993 and is required to be a new entitlement of each state's Medicaid plan under section 1928 of the Social Security Act. The program was officially implemented in October 1994 and serves eligible children in all U.S. states, as well as the Commonwealth of Puerto Rico, the U.S. Virgin Islands, American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands.

The following outline is provided as an overview of and topical guide to diabetes mellitus :

This article provides a global overview of the current trends and distribution of metabolic syndrome. Metabolic syndrome refers to a cluster of related risk factors for cardiovascular disease that includes abdominal obesity, diabetes, hypertension, and elevated cholesterol.

There are high rates of diabetes in First Nation people compared to the general Canadian population. Statistics from 2011 showed that 17.2% of First Nations people living on reserves had type 2 diabetes.

<span class="mw-page-title-main">Epidemiology of diabetes</span>

Globally, an estimated 537 million adults are living with diabetes, according to the latest 2019 data from the International Diabetes Federation. Diabetes is the 9th leading cause of mortality globally in 2020, attributing to over 2 million deaths annually due to diabetes directly and kidney disease due to diabetes. The primary causes of type 2 diabetes is diet and physical activity, which can contribute to increased BMI, poor nutrition, hypertension, alcohol use and smoking, while genetics is also a factor. Diabetes prevalence is increasing rapidly; previous 2019 estimates put the number at 463 million people living with diabetes, with the distributions being equal between both sexes icidence peaking around age 55 years old. The number is projected to 643 million by 2030, or 7079 individuals per 100,000, with all regions around the world continue to rise. Type 2 diabetes makes up about 85-90% of all cases. Increases in the overall diabetes prevalence rates largely reflect an increase in risk factors for type 2, notably greater longevity and being overweight or obese. The prevalence of African Americans with diabetes is estimated to triple by 2050, while the prevalence of whites is estimated to double. The overall prevalence increases with age, with the largest increase in people over 65 years of age. The prevalence of diabetes in America is estimated to increase to 48.3 million by 2050.

<span class="mw-page-title-main">Diabetes</span> Medical condition

Diabetes mellitus, often known simply as diabetes, is a group of common endocrine diseases characterized by sustained high blood sugar levels. Diabetes is due to either the pancreas not producing enough insulin, or the cells of the body becoming unresponsive to the hormone's effects. Classic symptoms include thirst, polyuria, weight loss, and blurred vision. If left untreated, the disease can lead to various health complications, including disorders of the cardiovascular system, eye, kidney, and nerves. Untreated or poorly treated diabetes accounts for approximately 1.5 million deaths every year.

<span class="mw-page-title-main">Diabetes in India</span>

India has an estimated 77 million people formally diagnosed with diabetes, which makes it the second most affected in the world, after China. Furthermore, 700,000 Indians died of diabetes, hyperglycemia, kidney disease or other complications of diabetes in 2020. One in six people (17%) in the world with diabetes is from India. The number is projected to grow by 2045 to become 134 million per the International Diabetes Federation.

Lark Health is an American digital health company based in Mountain View, California. It provides a 24/7 nursing platform for chronic conditions, powered by artificial intelligence (AI) and has a text-messaging type interface. Lark also provides AI nurses for type 2 diabetes care, hypertension care, tobacco cessation, stress management, obesity, and more for 1.5 million patients.

Native Americans are affected by noncommunicable illnesses related to social changes and contemporary eating habits. Increasing rates of obesity, poor nutrition, sedentary lifestyle, and social isolation affect many Americans. While subject to the same illnesses, Native Americans have higher morbidity and mortality to diabetes and cardiovascular disease as well as certain forms of cancer. Social and historical factors tend to promote unhealthy behaviors including suicide and alcohol dependence. Reduced access to health care in Native American communities means that these diseases as well as infections affect more people for longer periods of time.

References

  1. 1 2 3 4 5 "America's Health Rankings "Diabetes"". America's Health Rankings. Retrieved 2023-02-22.
  2. 1 2 3 4 "Economic Costs of Diabetes in the U.S. in 2017". diabetesjournals.org. Retrieved 2023-02-22.
  3. Ward, Brian W.; Black, Lindsey I. (2016). "State and Regional Prevalence of Diagnosed Multiple Chronic Conditions Among Adults Aged ≥18 Years — United States, 2014". MMWR. Morbidity and Mortality Weekly Report. 65 (29): 735–738. doi: 10.15585/mmwr.mm6529a3 . PMID   27467707.
  4. "Prevalence of Prediabetes Among Adults". 21 September 2022.
  5. Dendup, T.; Feng, X.; Clingan, S.; Astell-Burt, T. (2018). "Environmental Risk Factors for Developing Type 2 Diabetes Mellitus: A Systematic Review". International Journal of Environmental Research and Public Health. 15 (1): 78. doi: 10.3390/ijerph15010078 . PMC   5800177 . PMID   29304014.
  6. Schulze, Matthias B.; Hu, Frank B. (21 April 2005). "Schulze, Matthias B., and Frank B. Hu. 2005. "Primary Prevention of Diabetes: What Can Be Done and How Much Can Be Prevented?" Annual Review of Public Health 26 (1): 445–67". Annual Review of Public Health. 26 (1): 445–467. doi: 10.1146/annurev.publhealth.26.021304.144532 . PMID   15760297.
  7. "National Clinical Care Commission. 2021. "National Clinical Care Commission: Report to Congress on Leveraging Federal Programs to Prevent and Control Diabetes and Its Complications." Washington, D.C.: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health" (PDF).
  8. "National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2017".
  9. Torio CM, Andrews RM. National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011. HCUP Statistical Brief #160. Agency for Healthcare Research and Quality, Rockville, MD. August 2013.